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糖尿病神经病变患者接受全关节关节整形手术的并发症率

Gabriel Furey¹, Harrison S Fellheimer², Ryan Post²

¹Rothman Orthopaedic Institute at the Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.

Journal of clinical orthopaedics and trauma

|February 24, 2026

概括

糖尿病神经病变在全关节整形术 (TJA) 后显著增加并发症风险. 糖尿病和神经病变患者面临的并发症,再入院和感染率最高,突显了他们的高风险状态.

科学领域:

整形外科整形外科整形外科
神经学神经学
内分泌学在内分泌学.

背景情况:

神经系统疾病,包括糖尿病神经病变,可能会影响整体关节整形手术 (TJA) 的外科结果.
虽然糖尿病已得到充分研究,但糖尿病神经病变对TJA结果的具体影响需要进一步调查.
这项研究检查了TJA患者的神经病变,糖尿病或两者的并发症率.

研究的目的:

评估糖尿病神经病变对整体关节整形术术术后并发症率的影响.
为了比较患有神经病变,糖尿病或两种情况的患者之间的并发症率.
根据神经和糖尿病状况确定TJA的高风险患者群体.

主要方法:

对2600名接受初级全膝关节或关节整形手术的患者进行了回顾性分析.
患者分为四个队伍:糖尿病的神经病,没有糖尿病的神经病,没有神经病的糖尿病以及其他神经系统疾病.
评估90天的医疗和骨科并发症,再入院,早期修复和出院处置.

主要成果:

患有糖尿病神经病变的患者的90天并发症率最高 (35.1%).
神经病与糖尿病组显示了最高的再入院 (8.24%) 和手术部位感染 (2.75%) 率.
没有神经病变的糖尿病患者的非家庭出院率最高 (38.5%).

结论:

糖尿病神经病变与TJA后的术后并发症,再入院和感染的增加有关.
患有糖尿病神经病变的患者代表了TJA的高风险组.
针对性的术前优化和术后护理对于改善这些患者的治疗结果至关重要.

关键词:

糖尿病足患者的糖尿病足糖尿病神经病变是一种神经病变.周围神经病变是一种神经病变.术后并发症术后并发症假肢关节感染假肢关节感染风险分层是指风险的分层.使用:整体关节关节整形术.

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